53 - Chronic Cough in Adults Flashcards Preview

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Flashcards in 53 - Chronic Cough in Adults Deck (17):
1

chronic means it lasts longer than ___ weeks

8

2

What do you need to rule out?

-cough caused by ACEi
-post-infectious cough (persistent cough that lasts longer than 3 weeks after acute symptoms. Does not usually last > 8 weeks)

3

How do you treat cough due to pertussis ?

needs antibiotics

4

Non-pharms for chronic cough

-smoking cessation, avoid allergens and irritants, lifestyle modifications for GERD (weight loss, specific food/beverage avoidance)
-nasal saline irrigation with distilled or boiled water

5

If cause of cough is not apparent, then how do we treat this?

1st gen AH and a decongestant

6

How do we treat cough due to nonallergic rhinitis?

intranasal corticosteroids or intranasal ipratropium

7

How do we treat cough due to allergic rhinitis?

Antihistamines, INCS, or LTRA (ex. montelukast)

8

How do we treat cough due to chronic rhinosinusitis

antibiotics, short-course oral prednisone, INCS, or decongestants

9

How do we treat cough due to asthma?

SABA prn and ICS (basically just follow asthma protocol until it's controlled)

10

How do we treat cough due to non-asthmatic eosinophilic bronchitis?

ICS

11

How do we treat cough due to GERD?

H2 blocker or PPI x 2-3 months

12

How do we treat cough due to ACE-induced cough?

stop ACEi as a trial (may take 1-4 weeks for resolution)

13

How do we treat cough due to pertussis?

isolate x 5 days and treat with macrolide antibiotics

administer a booster pertussis vaccine once in all adults

14

Place in therapy for antitussives?

to suppress cough to allow them to sleep

15

_______ can improve cough-specific quality of life and is recommended as an option for patients

gabapentin

16

For pregnancy and breastfeeding:
If it's due to GERD, what do you do?

-lifestyle mods and antacids are 1st line
-can use H2 blocker, not much info about PPIs in pregnancy

17

For pregnancy and breastfeeding:
What can you use if it's due to asthma and rhinitis?

-SABAs and ICS
-oral 1st gen AHs
-oral decongestants (but avoid in 1st trimester)

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